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양성자치료로 Down-staging 후 간절제를 시행한 문맥침윤 간세포암
왕희정 ( Hee Jung Wang ),김봉완 ( Bong Wan Kim ),허위광 ( Wei Kwang Xu ) 대한간암학회 2011 대한간암학회지 Vol.11 No.1
A case of hepatocellular carcinoma (HCC) with portal vein tumor thrombi (PVTT) which was performed hepatectomy after down-staging by proton therapy is reviewed. Generally, the recommended therapeutic strategy for this kind of HCC is radiation therapy, systemic or infusion anticancer chemotherapy. However, the response of HCC and its PVTT of this 56 year-old male patient was relatively good after 22 times of proton therapy, and we performed right hemihepatectomy on the concept of clinical trial under the informed consent of patient and his families. He is still alive without recurrence 15 months after hepatectomy. We suggest that hemihepatectomy with removal of PVTT could be an alternative strategy in the PVTT accompanied HCC cases who show good responses after the above generally recommended therapies.